Pars plana vitrectomy and removal of the internal limiting membrane in the treatment of chronic macular oedema

Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie
Remzi AvciAhmet Ali Yucel

Abstract

To evaluate the results of pars plana vitrectomy with peeling of the internal limiting membrane (ILM) in eyes with chronic macular oedema. PPV with indocyanine green (ICG) assisted peeling of the ILM was performed in 33 eyes with diabetic (21 eyes) or non-diabetic (12 eyes) macular oedema. Postoperatively, resolution of macular oedema, improvement of visual acuity (VA) and complications were documented. The peeled membranes were submitted for light and transmission electron microscopic evaluation. The mean follow-up time was 12.2 months. The macular oedema decreased or was resolved in 17 (81%) eyes in the diabetic group and in 11 (92%) eyes in the non-diabetic group. VA improved by at least 2 lines in 11 (52%) eyes in the diabetic group and in 7 (58%) eyes in the non-diabetic group. The difference between visual acuity improvements of the two groups was not statistically significant (P>0.05). However, in the diabetic group the difference of visual improvement between cystoid and diffuse type of macular oedema eyes was statistically significant (14% versus 71%, P=0.02). Light and transmission electron microscopy showed the presence of ILM in all specimens. During the follow-up period no recurrence of macular oedema or epiretinal...Continue Reading

Citations

Nov 10, 2006·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Atul KumarRajpal Vohra
May 12, 2009·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Jan KalvodaBohdana Kalvodová
Dec 20, 2005·The British Journal of Ophthalmology·S P ShahD A H Laidlaw
Jan 19, 2007·The British Journal of Ophthalmology·Rishi P SinghPeter K Kaiser
Jun 1, 2012·Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie·Philip HooperDavid A L Maberley
Jun 24, 2008·Survey of Ophthalmology·Ehab Abdelkader, Noemi Lois
Jan 5, 2005·American Journal of Ophthalmology·John T Thompson
Feb 3, 2006·Clinical & Experimental Ophthalmology·Remzi AvciFatma D Akalp
Oct 7, 2008·American Journal of Ophthalmology·Alessandro IannacconeEdwin M Stone
Nov 23, 2011·Retina·Arghavan AlmonyAsheesh Tewari

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